Provider Demographics
NPI:1235885476
Name:CROSSPOINT RESIDENTIAL LLC
Entity Type:Organization
Organization Name:CROSSPOINT RESIDENTIAL LLC
Other - Org Name:STAYPOINT RESIDENTIAL
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER ADMIN
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:OFOSE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-373-7750
Mailing Address - Street 1:6921 WOODSIDE DR
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95842-2228
Mailing Address - Country:US
Mailing Address - Phone:916-676-2631
Mailing Address - Fax:
Practice Address - Street 1:6921 WOODSIDE DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95842-2228
Practice Address - Country:US
Practice Address - Phone:916-676-2631
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-25
Last Update Date:2023-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3104A0625XNursing & Custodial Care FacilitiesAssisted Living FacilityAssisted Living, Mental Illness
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility